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For Members

Customer Services

Customer Services

The Customer Service team is your source of support for members of Loyola Physician Partners. We strive to provide excellent customer service in an efficient, professional and friendly manner. Your well-being is important to us. They are here to support you for the following services:

Assistance on the process of selecting your PCP

PCP changes

Checking eligibility for your services

Explanation of Benefits

Questions about your claims

Co-payment questions

Checking on Appeals and Grievances

Questions about prior authorizations

Other questions

Questions:

Call your Loyola Physician Partners Customer Service Department by dialing our main line at (708) 783-7100 and following the prompts. Our hours of operations are Monday-Friday between the hours of 8:30am and 5:00pm CST. Spanish speaking translators are available upon request.

Complex Case Management

About Complex Case Management

Care Coordination Programs (CCP)

The LPP Care Coordination Programs are a group of member-centered, medical, social, behavioral health and wellness programs that focus on you, our members, and your health care needs. The programs are designed to help you make healthy lifestyle choices and provide extra assistance to help you navigate this complex world of health care.

Our Case Management Program focuses on helping a member with short term needs such as after surgery, hospitalization or injury. If you have recently been hospitalized or in the emergency department, you may receive a call from us.

Our Disease Management Program focuses on Diabetes and Asthma education and treatment, helping members with these conditions get and stay healthier.

Our Complex Case Management Program is designed to help members with more complicated medical or behavioral health needs.

Our team has nurses, social workers, and pharmacists who specialize in assisting our members with both their medical, as well as their social needs, and are trained to help you get the most from your health care program.

We provide:

Education, support, care coordination and our primary duty is to advocate for you.

We can go to medical appointments with you and help you understand what your provider is telling you.

We assist you to design healthy lifestyle goals and call you monthly to check on your progress.

We send you educational materials and help you prepare for appointments with your doctors.

We build a relationship with you and your health care team, as all of us want you to be healthy.

Our goal is for you to live a happy, healthy life and focus on wellness and healthy lifestyle choices.

Health care is every changing and sometimes a difficult to navigate. We can assist you with this process if you agree and this support is at no cost to you.

You, your doctor, family member or even a friend can to refer you to one of our Case Managers or get more information by calling Loyola Physician Partners at 708-783-7100, press 0 and ask to speak to the Case Management department. We look forward to hearing from you.

Resources

Member Resources

Emergency Vs. Urgent Care: What's the Difference?

It can be challenging to decide whether to seek care at an urgent care center or an emergency room. We want to help you seek care at the right place and at the right time. Please watch the video or click on the link for some resources to help you make that decision and remember, if you feel this is a life threatening emergency, please call 911.

Advance Care Planning: What type of healthcare would you want if you were too sick to tell the doctor?

Plan ahead, talk to your doctor and create your advance care plan to make sure you get the medical care you want. It's always a good idea to take a copy into your doctor's office. See the Illinois Department of Public Health for more information.

myLoyola

If you have recently received care or had tests completed at Loyola Medicine, you can sign up for myLoyola access to view your results.